HomeMy WebLinkAboutCLE200700058 Legacy Document 2013-07-10Tax map and parcel:
Application for
Zoning Clearance
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
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Existing Zoning: P 0,-s ( 3
Parcel Owner: 4 iz, if � � �,"
Parcel Address: �� f'z�I'�ofJ� �PLCLeV" City l YICI�CS` SL1�i�2State lidf` Zip o�p�'�I(
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?): F tfGt cn,
Address oO�-(lJ— Qw,&e </L,,� my R J City C nl �C��4C�S1/l �� State y� Zip
Daytime Phone ( � ��� ' � CIC/0 Fax # &3b ' 17,11K � - � R 01 E -mail (A e f 6 9� l y �.(�� 4�3 ae/ C' ��lili1
Business Name /Type:
Previous Business on this site: s�
Proposed use: 1�
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
Circle (if applicable): Fireworks / Christmas Tree
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a
new Zoning Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information
provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will
abide y them
3 15 C)
ature o ,Bus ess Owner or Agent Date
Print Nam
APJ'1ROVAL INFORMATION
[vJ Approved as proposed
[\04� 4flow device and /or current test data needed for this site.
[ ] N physical site inspection has been done for this clearance.
[ This site complies with the site plan as of this date.
Building Official
Zoning Official
Other Official
] Approved with conditions
Contact ACSA 977 -4511, x119.
Therefore, it is not a determination of compliance with the existing site plan.
Date `' a 1
Date •F -116 7
Date
FOR OFFICE USE ONLY CLE # ZQ Q 7 — �5 !R' Jr
Fee Amount $ 3 ✓ ,t-1 t ". Date Paid '-93— j �.p ,1y who? (=1 car, A's r` Mt/- _Receipt # 64//0®4? Ck# / lY� By:�—
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 5/1/06 Page 2 of